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Home My WebLink AboutPermit Building 2003-9-9 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2003-00687 ISSUED: 09/09/2003 APPLIED: 07/31/2003 EXPIRES: 03/09/2003 V ALUE~ $ 10,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-,~~~f)cFalION:Ore9on law reqUires you.~o 541-726l'3769-frl1spection Li\,l;ed l)y the Oregon Utility' fnlloW rules aOO}J c; ,. ,1-"......0 coot ~nrt' .., ,,+;fi,..~tion center. I! IV;;)'" '~l - -= :...... r\l:: f) J'\n "\ ~ -- 01 Qn1UTn'l)\J!::j' {.~".. -~- SITE ~lli),:iillSS?2-0 -1600.H ~'Tnies of the rules t Springfield TYPE OF WORK: Office ASSE~'S:RJ\R0EiL ~.?-ln(~~t~61~\W~~~SPhone , calling the center. IHt I Notification TYPE OF USE: PROJEG~R~WiP'liI0~ree~rahnklo'J~c~~pace out of existing library area. r...,,,,tC\y is 1-8()O-33~-2 4 r. Alteration Commercial Owner: MCKENZIE- WILLAMETTE HOSPITAL Address: 1460 G STREET SPRINGFIELD OR 97477 Phone Number: 541-726-4432 Contractor Type Applicant Architect General Electrical Mechanical I CONTRACTOR INFORMATION. Contractor NOTICE: License Expiration Date MCKENZIE-WILL~METTlf~S>~~ SHALL EXPIRE IF THE WORK GERALD MCDONNELL A~~~~~RW~~DER THIS PERMIT IS NOT LEE CONSTRUCTION CO~~NCED OR~waANDONED tfORi/2004 ALERT ELECTRIC INC ANV 180 DAV PEi\YGYi. OS/22/2005 HARVEY & PRICE CO 77 10/31/2004 BUILDING INFORMATION' Phone 541-726-4450 541-344-9157 541-683-3607 541-747-2213 541-746-1621 # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: R-3 SETBACKS I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: ~ Pae:e 1 of 4 A Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Estimate Estimate Fee Description Plan Review Comm/Ind/Public Plan Review Fire & Life Safety -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Building Permit Not Covered Mechanical Total Amount Paid CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00687 ISSUED: 09/09/2003 APPLIED: 07/31/2003 EXPIRES: 03/09/2003 VALUE: $ 10,000.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 10,000.00 Value Date Calculated Total Value of Project $10,000.00 $10,000.00 07/31/2003 ~ Amount Paid Date Paid Receipt Number $69.81 7/31/03 2200200000000001329 $42.96 7/31/03 2200200000000001329 $10.00 9/9/03 2200200000000001490 $15.24 9/9/03 2200200000000001490 $10.67 9/9/03 2200200000000001490 $107.40 9/9/03 2200200000000001490 $45.00 9/9/03 2200200000000001490 $301.08 I Plan Reviews I Paee 2 of 4 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00687 ISSUED: 09/09/2003 APPLIED: 07/31/2003 EXPIRES: 03/09/2003 VALUE: $ 10,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fire Department Review 08/0112003 09/03/2003 OK GRG Plan Review: Remodel library to two offices and a storage room. Job #COM2003-00687. Occupancy: R-3. Construction: V-No Maintain address numbers in contrasting color from the background positioned plainly visible and legible from the street or road fronting the property (Oregon Structural Specialty Code 502 and Springfield Uniform Fire Code 901.4.4). Provide or maintain fire extinguishers with a minimum rating of 2-A:I0-B:C every 75 feet 01 travel distance (SUFC 1002.1). If less than 20 sprinkler heads are relocated, provide submittal (as builts) showing relocation of sprinkler heads and ensure system maintains compliance with NFP A 13 requirements. (This requirement is supplied by your licensed sprinkler subcontractor). Initial Review 08/0112003 08/0112003 APP RJB PlanniDl! Review 08/0112003 08/15/2003 APP EMM Public Works Review 08/0112003 08/18/2003 APP SB Public Works Review 08/18/2003 PEND Structural Review 08/0112003 08/07/2003 APP TCM SUB Review 08/0112003 08/05/2003 APP JF No change in use or expansion $0 SDC page attached. 8/18/03 - Assigned to Steve Barnes for review. KJV To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. 1 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 2 Drywall: Prior to taping. 3 Final Building: After all required inspections have been requested and approved and tbe building is complete. 4 Final Fire Department. After all requirements of the Fire Department have been met. 5 Rough Mechanical: Prior to Cover 6 Final Mechanical: When all mechanical work is complete. 7 Rough Electric: Prior to Cover 8 Final Electric: When all electrical work is complete. Pal!e 3 of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00687 ISSUED: 09/09/2003 APPLIED: 07/31/2003 EXPIRES: 03/09/2003 VALUE: $ 10,000.00 By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the per.mi~ card is located at the front 2he property, and the approved set of plans will remain on the site at all times during,co~tru~tion. (~hW/~_ c7 Owner or Contractors Signature Pa2e 4 of 4 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00687 COM2003-00687 COM2003-00687 COM2003-00687 COM2003-00687 Payments: Type of Payment Check Receipt #: 2200200000000001490 Description Building Permit -Mechanical Issuance Fee- Not Covered Mechanical + 7% State Surcharge + 10% Administrative Fee Paid By LEE CONSTRUCTION CO Received By nJill Check Number Batch Number Authorization Number 9754 City of Springfield 'Official Receipt Development Services Department Public Works Department Date: 09/09/2003 9:38:10AM Amount Paid 107.40 10.00 45.00 10.67 15.24 $188.31 Item Total: How Received In Person Payment Total: Amount Paid $188.31 $188.31 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATIQ1yt2~ . /. City Job Number ~ 2.OV3 _~'aYeO !;//I/~? ~ I! 1. 3. ,/0CJ7J H ,<; / LEGAL DESCRIPTION /70~ ~~ z-cf t!)!77~O JOB DESCRIPTION :;2- C!.-/.A' r?IL / T..(' Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. Electrica!:.G:~V\1@;qt9D~e~~~' A I I....' d bY tnl:: ~\o('__~tl. folloW r~;\'9~dOPt~~,VlJ~ set fan Addurpsk~tlOfl <i~te};)T . r'L- '. ,0 br;?-OO 1'J III . 1-001 U tm UY" v ...- C~y~~in~~~~t~~~~~ calling tfle cemtH. ( Utility NotificatIon number for the. Oregon 4L'(J7. Supervisor Li~'etNhfuhlr80m-~ ':-J Expiration Date /0 - r - 0 4-' Constr. Contr. Number /1...-71 Z- Expiration Date S .--?/t-~~ '" ~suP'm';ng Eleetridw I ~O .I Owners Name F7# AJ JCES_-<k G: tl \ J -!-'" ~~ ~ { Address d$~_ /7 /!! <r City ~"A\ ....~ / - Phone OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 A. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 $ 19.00 Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 B. 200 ~tll):)S or less $ 63.00 'fHU"r;. 201 mps to[400 Amps $ 75.00 4011M~~ &fi;6@~SJ1ALL EXPIRE IF TH~W~ffi< 601 tM [1tQ~~eOJJWJER THIS PERMIH$6NCq- over~~}~~g~IQR IS ABANDONED FUR5.00 Rec6iille'ctWJl;DAY PERIOD. - $ 50.00 c. Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 50.00 $ 69.00 $100.00 Over 600 Amps or 1000 Volts see "B" above. D. New Alteration or Extension Per Panel One Circuit -- Each Additioual Circuit or with Service or Feeder Permit ! $ 43.00 4-;; -; $ 3.00 E. Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. +;;,~oo . .3 ,Z-Z- ~GO .c:;<; . ~2 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building FormslElectrical Permit Application 1-03,doc 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00876 COM2003-00876 COM2003-00876 COM2003-00876 Payments: Type of Payment CreditCard Receipt #: 1200200000000002102 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Received By nJill Check Number Batch Number Authorization Number Paid By JEFF HA TLEBERG 000165 011045 City of Springfield Official Receipt Development Services Department Public Works Department' Date: 09/11/2003 lO:40:13AM Amount Paid 43.00 3.00 3.22 4.60 $53.82 Item Total: How Received In Person Payment Total: Amount Paid $53.82 $53.82 225 Fifth Street Springfield, OR 97477 Description Trans Code Plan Review Commllnd/Public Plan Review Fire & Life Safety Building Permit ~Mechanical Issuance Fee~ ot Covered Mechanical + 7% State Surcharge + 10% Administrative Fee 1060 1077 1002 1087 1006 1099 1098 Fees Associated With Case #: C0M2003-00687 1600 H ST 8/712003 1O:32:08AM MCKENZIE-WILLA METTE HOSPITAL 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Revenue Account Number Date Origin al Calculated Amount Due 7/31/2003 69.81 0.00 7/31/2003 42.96 0.00 8/7/2003 107.40 107.40 8/7 /2003 10.00 10.00 8/7/2003 45.00 45.00 8/7/2003 10.67 10.67 8/7 /2003 15.24 15.24 Total Due: $188.31 100-00000-425602 100-00000-425602 100-00000-425602 100-00000-425602 100-00000-425602 821-00000-215004 100-00000-426605 1 of 1 CaseF ees.. rpl